Maliyah Bryant Email & Phone Number

High Point, North Carolina, United States

United States

Educate member on plan of benefits, member's rights and responsibilities in accordance with contracted arrangements, claim status information, benefit coverage, plan eligibility, dental, vision, pharmacy, HSA, provider details, care management, on-boarding, tool usage and available programs/resourcesOwns the members concerns all the way through to resolution no matter where that might take usInteract with providers, clinicians, pharmacists, and many other professional's in an e ort to provide total satisfaction and resolution to the memberConsistently seek to build trusting relationships with members by understanding their needs and health aspirationsDeliver a suite of services to members that support easy navigation of the healthcare system, from providing personalized next best action recommendations, to maintaining individual data accuracy and integrityAssists the member in finding their health ambitionConnect the member with additional administrative and clinical resources as neededUse proactive, predictive and preventative analytics to service membersProvide high-quality, customer-focused telephonic service using knowledge of procedures and systems to meet and/or exceed customer satisfactionCoordinate with clinicians to compile the member's Care Plan and conduct adherence follow-upWork with case managers for members requiring urgent or emergent service, or services rendered in a setting other than a practitioner's o ceCreate task for daily review and completion Adhere to 97.5% Quality Satisfactory monthly.